Question 1

Identify the problem with the order Restoril 7.5 mg 1 capsule po qhs.

Accepted Answer

Use "at bedtime" rather than qhs.

Question 2

The patient is ordered Heparin 5,000 units Sub-Q daily. Is this order correct?

Accepted Answer

Use subcut rather than Sub-Q.

Question 3

Documentation of medication administration should be done

Accepted Answer

Medication administration must be documented immediately after administering the medication.

Question 4

Based on the recommendations of The Joint Commission and ISMP, which of the following is the preferred way to abbreviate "morphine sulfate"?

Accepted Answer

Both organizations recommend that morphine sulfate not be abbreviated.

Question 5

Which entity has developed a list of error-prone abbreviations through its Medication Errors Reporting Program?

Accepted Answer

The Institute for Safe Medication Practices (ISMP) developed a list of error-prone abbreviations through its Medication Errors Reporting Program.

Question 6

The physician's order does not include why a medication is to be given. The healthcare provider administering the medication will not be able to fulfill which "right" of medication administration without clarifying the order?

Accepted Answer

The healthcare provider must know the reason a medication is being administered to avoid errors.

Question 7

Which of these is not one of the three times a medication is checked?

Accepted Answer

A medication should be checked when it is removed from the shelf, prepared, and replaced on the shelf.

Question 8

Checking a medication three times ensures which of the following?

Accepted Answer

Checking a medication three times ensures you have the right medication in the correct dosage form.

Question 9

The abbreviation cc (cubic centimeter) is considered to be error prone; what should be used instead?

Accepted Answer

The preferred abbreviation is mL, which stands for milliliters.

Question 10

In which of the following situations would a verbal order be acceptable?

Accepted Answer

This is the only situation in which the order must carried out quickly and the physician is unable to write an order.

Question 11

Once an order has been transcribed to the MAR

Accepted Answer

A registered nurse is responsible for verifying orders to ensure accuracy and completeness.

Question 12

Which of these is considered one of the main causes of medication errors?

Accepted Answer

Incorrect transcription is one of the main causes of medication errors.

Question 13

Which entry on the MAR was transcribed with all necessary information in the correct format?

Accepted Answer

None of the transcriptions have complete information in the correct format.

Question 14

Which entry on the MAR was transcribed without a route?

Accepted Answer

The transcription for Dilantin is missing the route.

Question 15

What is the problem with the transcription for Digoxin?

Accepted Answer

QOD should be written out as "every other day."

Question 16

Which transcription is missing the frequency?

Accepted Answer

The transcription for Probanthine is missing the frequency.

Question 17

What is the problem with the transcription for Cleocin?

Accepted Answer

The units for the dose are missing.

Question 18

Who performs the three checks of medication administration?

Accepted Answer

The three checks are done by the person administering medications.

Question 19

Ms. Anderson was giving medications on the unit. Just as she was taking a medication out of the patient's cassette, she was interrupted by another patient asking about an appointment. While having the discussion, she opened the medication container and poured the dose and gave it to the intended patient. When she returned to the cassette, she realized she gave the wrong medication. What did she neglect to do?

Accepted Answer

She administered the medication without performing the three checks to ensure she had the right medication.

Question 20

Which of the following observations would be made prior to administering an oral medication?

Accepted Answer

Generally you would observe the patient's ability to swallow before giving oral medications.

Quiz 11: Safe Medication Administration